Mestad, Renee E
Mestad, Renee E is an individual health care provider with primary practice located at 725 Irving Ave Suite 600, Syracuse NY 13210-1603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mestad, Renee E can be contacted via phone (315) 464-5162.Contact Information
Primary practice address
725 Irving Ave Suite 600
Syracuse NY 13210-1603
Phone: (315) 464-5162
Fax: (315) 464-4613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 257554 | New York |
Profile Details
| NPI number | 1831166586 |
|---|---|
| LBN Legal business name | Mestad, Renee E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Nov 24th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831166586 | NPPES |
| New York | MEDICAID | 03251461 |
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